Codac Health, Recovery & Wellness, INC.
Community Based Residential Treatment Facility, Mental Illness in Tucson, AZ. Organization (NPI-2).
NPI number1750797692
StatusActive
Last updated in NPPESSep 25, 2015
Details
- NPI
- 1750797692
- Entity type
- Organization (NPI-2)
- Legal business name
- Codac Health, Recovery & Wellness, INC.
- Organization subpart
- No
- Enumeration date
- Jul 10, 2014
- Last updated
- Sep 25, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – | Yes |
Other names
- Codac At Andrew Street (Doing Business As)
Practice location
4758 E Andrew StTucson, AZ 85711-6427
Phone 520-327-4505 · Fax 520-202-1889
Mailing address
1650 E Fort Lowell RdSte 202
Tucson, AZ 85719-2374
Phone 520-327-4505 · Fax 520-202-1889
Authorized official
Dennis Regnier
Ceo
5203274505
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